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DR. JAMES ELTON KUDERER D.O. NPI 1972748119


NPI Information

NPI: 1972748119
Provider Name: DR. JAMES ELTON KUDERER, D.O.
Classification: Otolaryngology - 207Y00000X
Entity Type: Individual
Organization: PARK NICOLLET CLINIC

PECOS Registration: Yes

Address:
4170 CITY AVE
C/O GRADUATE MEDICAL EDUCATION
PHILADELPHIA, PA
ZIP 19131
Phone: (215) 871-6690
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DR. James Elton Kuderer, D.O. is an otolaryngology in Philadelphia, PA with 16 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. DR. James Elton Kuderer, D.O. NPI is 1972748119. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year:2008

The provider's business location address is:

4170 CITY AVE
C/O GRADUATE MEDICAL EDUCATION
PHILADELPHIA, PA
ZIP 19131-610
Phone: (215) 871-6690

The NPI 1972748119 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of impact ear wax, one ear (HCPCS:69210)
  • Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)
  • Diagnostic examination of nasal passages using an endoscope (HCPCS:31231)
  • Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips (HCPCS:14060)

The enumeration date for this NPI number is 12/2/2008 and was last updated on 6/10/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training Program5101017914MICHIGANNo
2207Y00000XOtolaryngologyOT-013308PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.